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Vocal Cord Dysfunction Medication

  • Author: Praveen Buddiga, MD; Chief Editor: Michael A Kaliner, MD  more...
 
Updated: Mar 30, 2016
 
 

Medication Summary

No specific pharmacotherapy is indicated.

 
 
Contributor Information and Disclosures
Author

Praveen Buddiga, MD Physician, Allergy, Asthma and Immunology, Baz Allergy, Asthma and Sinus Center

Praveen Buddiga, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American College of Allergy, Asthma and Immunology

Disclosure: Serve(d) as a speaker or a member of a speakers bureau for: MYLAN, TEVA.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Michael R Simon, MD, MA Clinical Professor Emeritus, Departments of Internal Medicine and Pediatrics, Wayne State University School of Medicine; Professor, Department of Internal Medicine, Oakland University William Beaumont University School of Medicine; Adjunct Staff, Division of Allergy and Immunology, Department of Internal Medicine, William Beaumont Hospital

Michael R Simon, MD, MA is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American College of Allergy, Asthma and Immunology, Michigan State Medical Society, Michigan Allergy and Asthma Society, American College of Physicians, American Federation for Medical Research, Royal College of Physicians and Surgeons of Canada, Society for Experimental Biology and Medicine

Disclosure: Received ownership interest from Secretory IgA, Inc. for management position; Received ownership interest from siRNAx, Inc. for management position.

Chief Editor

Michael A Kaliner, MD Clinical Professor of Medicine, George Washington University School of Medicine; Medical Director, Institute for Asthma and Allergy

Michael A Kaliner, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American Association of Immunologists, American College of Allergy, Asthma and Immunology, American Society for Clinical Investigation, American Thoracic Society, Association of American Physicians

Disclosure: Nothing to disclose.

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Flow volume loops.
Laryngoscopic views of the vocal cords.
Vocal cord dysfunction treatment plan.
Relaxed throat breathing exercises.
Table 1. Differential diagnosis of laryngeal movement disorders[69, 70, 71]
VCD 
PsychogenicSomatoform disorder, conversion disorder, abuse, anxiety disorder, depression, Munchausen syndrome, malingering
ExerciseExercise
IrritantExtrinsic (chemical irritants, olfactory stimuli)



Intrinsic (GERD, laryngopharyngeal reflux rhinits/post nasal drip, sinusitis)



LaryngospasmIntubation, airway manipulation, IgE mediated, nocturnal aspiration
Vocal Cord Paresis/ParalysisProlonged intubation, recurrent laryngeal or vagus nerve damage during chest or thyroid surgery, idiopathic
InfectiousEpiglottis, bronchiolitis, laryngotracheobronchitis (croup), laryngitis, pharyngeal abscess, diphtheria, pertussis, laryngeal papillomatosis
NeoplasticHead and neck malignancy, cystic hygroma, hemangioma, rhabdomyosarcoma, teratoma, lymphoma, papilloma
EndocrineThyroid goiter
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